Empagliflozin in Heart Failure
Author(s) -
Matthew D. Griffin,
Veena S. Rao,
Juan B. IveyMiranda,
James H. Fleming,
Devin Mahoney,
Christopher Maulion,
Nisha Suda,
Krishmita Siwakoti,
Tariq Ahmad,
Daniel Jacoby,
Ralph Riello,
Lavanya Bellumkonda,
Zachary L. Cox,
Sean P. Collins,
Sangchoon Jeon,
Jeffrey M. Turner,
F. Perry Wilson,
Javed Butler,
Silvio E. Inzucchi,
Jeffrey M. Testani
Publication year - 2020
Publication title -
circulation
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.120.045691
Subject(s) - empagliflozin , medicine , heart failure , diuretic , furosemide , cotransporter , benzhydryl compounds , pharmacology , intravascular volume status , sodium , cardiology , diabetes mellitus , intensive care medicine , endocrinology , type 2 diabetes , hemodynamics , chemistry , organic chemistry , bisphenol a , epoxy
Sodium-glucose cotransporter-2 inhibitors improve heart failure-related outcomes. The mechanisms underlying these benefits are not well understood, but diuretic properties may contribute. Traditional diuretics such as furosemide induce substantial neurohormonal activation, contributing to the limited improvement in intravascular volume often seen with these agents. However, the proximal tubular site of action of the sodium-glucose cotransporter-2 inhibitors may help circumvent these limitations.
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